Chapter 369 Is it possible that it is "irritability"

Ji Xiang was startled. The patient seemed a little irritable.

Are you already irritable even before you start gastric lavage?

The emergency physician also frowned at the patient, seeming to be assessing the patient's compliance.

"Doctor..." The patient was a little embarrassed at this time. He quickly endured his discomfort and explained, "I feel very uncomfortable. I'm sorry, I'm sorry."

"Lie down, let me take a look." The emergency medicine doctor did not care about the patient and began to examine him.

The patient's heart rate was 100 beats/min, blood pressure was 98/65mmHg, he was conscious, slightly irritable, and his skin was dry, and his heart and lung auscultation showed no abnormality.

The medical history is clear. After taking a bottle of toilet water of about 300ml around 16:00 in the afternoon, I developed nausea, vomiting and other symptoms.

The emergency physician instructed the nurse to connect the QZD-B fully automatic and efficient gastric lavage machine and use small liquid volume and low pressure for repeated flushing.

After giving the medical order, the emergency physician didn't even bother to look at the patient and turned around to leave.

For emergency doctors, the treatment is the same whether you ate half-cooked beans or drank 300*** of water.

Gastric lavage, fluid replenishment, vomiting out all the "overnight meals" in the stomach, and arrangement for observation. In severe cases, some proton pump inhibitors are used. The routine is simple and clear.

The emergency physician thought it was routine, but Ji Xiang saw it with gusto.

The patient who drank 300*** of dew turned out to have this behavior. Ji Xiang remembered this scene deeply, and he will definitely not panic when he encounters similar patients in the future.

By the way, Ji Xiang took out his mobile phone and searched for the effects of oral toilet water.

"Lao Meng, what are you doing?" The emergency physician walked out of the emergency room and saw Meng Qingfei, who had just heard the patient roar and came out to see the situation.

Meng Qingfei seemed a little slow. He hesitated for a moment, and Ji Xiang noticed that his eyes were always staring at the patients in the emergency room.

"Lao Meng, what's wrong?" The emergency physician was also a little confused.

"No." Meng Qingfei subconsciously put his hands behind his back and wiped his buttocks in white clothes, as if he had just washed his hands.

"The patient may have poor metabolism of alcohol, his body may be red and hot, and he may be drunk. It's nothing! I'm going to get busy." The emergency medicine doctor hurriedly ran back to the consulting room, where there were already piles of signs of symptoms in the patients.

"Teacher Meng, what's wrong with you?" Ji Xiang asked.

"I have seen 6 patients who drank toilet water and needed gastric lavage, but this patient was different." Meng Qingfei looked at the patient who was about to have gastric lavage with flashing eyes, a solemn expression on his face.

"It's different?" Ji Xiang was surprised, "The symptoms during the consultation and physical examination were exactly the same as what Brother Zhao said."

Meng Qingfei thought for a while, tilted his head, as if thinking, but smiled helplessly after a few seconds.

"Maybe I'm suspicious."

He took another look at the patient's ECG monitoring, turned around and left with Ji Xiang.

"Xiao Ji, I ordered dumplings stuffed with beef for you." Meng Qingfei said, "I ordered beef dumplings last time and I think you ate them very well."

"Everything I eat is the same." Ji Xiang said, "Teacher Meng, what do you think is wrong with the patients in the emergency room?"

Even if Meng Qingfei wanted to forget the uncomfortable feeling that just made him feel uncomfortable for a moment, he couldn't resist Ji Xiang's repeated reminders.

"I can't tell, I just feel like something is wrong." Meng Qingfei was full of doubts, "The patient's vital signs are stable, so there should be no problem..."

As he spoke, Meng Qingfei "walked" forward with his upper body, his feet nailed to the ground like nails. If Ji Xiang hadn't stretched out his hand to help him, he might have fallen flat on the ground.

"Teacher Meng, be careful."

"Uh... Hahaha, I have Alzheimer's disease and my hands and feet are uncoordinated." Meng Qingfei joked to himself.

"Ugh vomit vomit~~~" A violent sound of vomiting came from behind.

Not to mention Meng Qingfei, even Ji Xiang is used to the sound of vomiting from gastric lavage patients in the emergency department.

There are patients who need gastric lavage in every class, which is fine at this point. In the middle of the night, after drinking too much, they come to the hospital for gastric lavage, and more people have infusions.

"Doctor Lang! If the patient doesn't cooperate, please take a look!" the nurse stood angrily at the door of the emergency room and yelled.

Meng Qingfei shrugged, "Gastric lavage is so uncomfortable, it's strange that you can cooperate."

As he spoke, he looked back again.

Ji Xiang also followed and looked over. The patient's family members were pressing down on the patient's body, but the patient's hands were still waving, as if he was struggling.

The heart rate on the ECG monitor has reached 130 beats/min, which may be caused by the violent action of refusing gastric lavage just now.

"Xiaoji, are you drinking?" Meng Qingfei asked absently.

"I can drink a little, but I basically don't drink." Ji Xiang replied, "Every year during the Chinese New Year family gathering, I drink two cups, but only two cups."

"Drink less." Meng Qingfei returned to the emergency surgery clinic and almost bumped into the door when he turned around.

"Brother Meng, be careful, what's wrong with you?" Zhao Zhe asked in confusion.

When Ji Xiang saw that Meng Qingfei was restless, he thought of the elderly patient who had been taking estazolam and a lot of grapefruit all year round.

If Meng Qingfei hadn't woken him up, the patient would have fallen asleep in the waiting hall. When rhabdomyolysis was discovered, no one would be able to save him.

This was the old doctor's intuition. Ji Xiang felt that it was not that simple, so he held his breath and entered the system space.

"Brother Meng, it should be fine. There is alcohol in the toilet water. I guess it's alcohol intolerance, just like drinking too much." Zhao Zhe said, "I have seen similar patients who couldn't hold back after drinking too much.

One time, the traffic police investigated a drunk driver and asked a drunk guy to draw his blood. The guy was so arrogant that he refused to let his blood be drawn."

"I almost beat up the nurse in the treatment room. I quickly pulled the nurse out, and then there was a bang, bang, bang, bang, bang, bang, bang, bang, bang, bang, bang, bang, bang, bang, bang, bang, bang, bang, bang, bang, bang, bang, bang, bang, bang, bang, bang, bang, bang, bang, bang, bang, bang, bang, bang, bang, bang, bang".

It’s a bad life. People who drink too much are like this. If they really drink into a puddle of mud..."

Zhao Zhe was still talking, and suddenly Ji Xiang looked serious, "Teacher Meng, can the patient's behavior be called irritability?"

"Irritated?" Meng Qingfei's eyes lit up, but then he fell into a long test.

Ji Xiang's words point out a direction. If the patient is not agitated due to gastric lavage, it seems that he can think of more if he uses irritability to explain it.

"Family members, hold the person down!" came the voice of the emergency physician.

This is also normal. For gastric lavage, the patient needs to be held down most of the time.

Meng Qingfei suddenly turned around, his "problem" of uncoordinated hands and feet disappeared, and he trotted to the emergency room.

"Xiao Lang, don't take off the ECG monitoring yet!" Meng Qingfei said.

"Ah, Lao Meng, what's going on?" The emergency physician was removing the electrode membrane and preparing to hold the patient down for gastric lavage. She raised her head when she heard Meng Qingfei's words and looked at Meng Qingfei in confusion.

"Look again, look again." Meng Qingfei didn't know why, but his intuition told him something was wrong. Especially what Ji Xiang asked - irritability, like a key, has already opened the door.
Chapter completed!